지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 64 - 70 (7page)
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초록· 키워드
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Background/Aims: Colonoscopy is considered to be the gold standard for detecting adenomatous polyps. Polyps are missed during colonoscopic examination at a rate that varies from 6% to 27%. The adenoma miss rate affects colonoscopic surveillance intervals and procedural quality. We aimed to assess the adenoma miss rate and the variables affecting the rate using same-day, quality-adjusted, back-toback colonoscopies. Methods: This prospective study was performed at a single institution and included 149 patients.
Two consecutive same-day colonoscopies were performed by two experienced endoscopists. The adenoma miss rates and variables affecting the missed adenomas, including polyp characteristics and procedure times, were evaluated.
Results: The miss rates of polyps, adenomas, and advanced adenomas were 16.8%, 17%, and 5.4%, respectively. The smaller polyps and increased number of polyps detected during the fi rst colonoscopy were more likely to be missed. A longer insertion time during the colonoscopy was correlated with an increased adenoma detection rate. Conclusions:There was a signifi cant miss rate in the detection of colonic adenomas even in quality-adjusted, back-to-back colonoscopies.
The adenoma miss rate can be reduced with a sufficient observation time during colonoscopic insertion. The development of specifi c technological methods to reduce the adenoma miss rate is necessary
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참고문헌 (24)
참고문헌 신청
Adler A / 2008 / A prospective randomised study on narrow-band imaging versus conventional colonoscopy for adenoma detection: does narrow-band imaging induce a learning effec
Barclay RL / 2006 / Colonoscopic
Bensen S / 1999 / The colonoscopic miss rate and true one-year recurrence of colorectal neoplastic polyps: Polyp Prevention Study Group / Am J Gastroenterol 94 : 194 ~ 199
Bonithon-Kopp C / 2004 / Colorectal adenoma characteristics as predictors of recurrence / Dis Colon Rectum 47 : 323 ~ 333
Bressler B / 2007 / Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis / Gastroenterology 132 : 96 ~ 102
Barclay RL / 2006 / Colonoscopic
Bensen S / 1999 / The colonoscopic miss rate and true one-year recurrence of colorectal neoplastic polyps: Polyp Prevention Study Group / Am J Gastroenterol 94 : 194 ~ 199
Bonithon-Kopp C / 2004 / Colorectal adenoma characteristics as predictors of recurrence / Dis Colon Rectum 47 : 323 ~ 333
Bressler B / 2007 / Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis / Gastroenterology 132 : 96 ~ 102
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